Minnesota Administrative Rules
Agency 144 - Health Department
Chapter 4654 - HEALTH CARE QUALITY MEASURES
Part 4654.0300 - PROVIDER SUBMISSION REQUIREMENTS
Universal Citation: MN Rules 4654.0300
Current through Register Vol. 49, No. 13, September 23, 2024
Subpart 1. Physician clinics.
A. Each physician clinic, except ambulatory
surgical centers, must register annually with the commissioner or
commissioner's designee beginning January 1, 2010, as specified in Appendix
E.
B. Each physician clinic, except
ambulatory surgical centers, must submit to the commissioner or commissioner's
designee data required to calculate the applicable quality measures, including
the data necessary to perform risk adjustment for each applicable quality
measure in Appendix A, which is incorporated by reference in part 4654.0800,
according to the schedule for each measure in Appendix A for all health care
services provided by the physician clinic. The physician clinic must submit the
data using the standardized electronic format and procedures specified in
Appendix E, which is incorporated by reference in part 4654.0800.
C. Each physician clinic with an electronic
medical record in place for an entire measurement period must report on a full
population basis in the subsequent reporting cycle.
D. If less than ten percent of a physician
clinic's population is age 18 or older, that physician clinic is exempt from
reporting on quality measures in Appendix A applicable to patients age 18 or
older.
Subp. 2. Hospitals.
A. Each hospital must
submit to the commissioner or commissioner's designee data required to
calculate the applicable quality measures, including the data necessary to
perform risk adjustment for each applicable quality measure in Appendix B,
which is incorporated by reference in part 4654.0800, according to the schedule
for each measure in Appendix B for all relevant health care services provided
by the hospital. The hospital must submit the data using the standardized
electronic format and procedures specified in Appendix E, which is incorporated
by reference in part 4654.0800.
B.
If less than ten percent of a hospital's patient population is age 18 or older,
that hospital is exempt from reporting on quality measures in Appendix B
applicable to patients age 18 or older.
Subp. 3. [Repealed, 39 SR 354; 39 SR 1046]
Subp. 4. Provider subcontractors.
The commissioner or commissioner's designee will accept data submitted on behalf of a provider by a single subcontractor.
Statutory Authority: MS s 62U.02; 62U.06
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